Individual
JEFFREY BRIAN LOOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 W ORANGE GROVE RD STE 104, TUCSON, AZ 85704-1140
(480) 443-8400
(480) 443-8697
Mailing address
4550 E BELL RD STE 170, PHOENIX, AZ 85032-9385
(480) 443-8400
(480) 443-8697
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
20557
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
366959
—
AZ
01
—
Z215319
MEDICARE
AZ
Enumeration date
08/03/2006
Last updated
08/19/2022
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